Lyons, Hernando

Lyons, Hernando is an individual health care provider with primary practice located at 22201 Moross Rd 270, Detroit MI 48236-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Lyons, Hernando can be contacted via phone (313) 343-3481.

Contact Information

Primary practice address
22201 Moross Rd 270 Detroit MI 48236-2169
Fax: (313) 343-7937
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 4301056892 Michigan

Profile Details

NPI number 1245224906
LBN Legal business name Lyons, Hernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245224906 NPPES
Michigan MEDICAID 2820015

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